Individual provider Active NPI

Angelica Martinez, APRN

  • Family Nurse Practitioner
  • Eagle Pass, TX
National Provider Identifier
1144723859
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136935 Issued in TX
Practice address
1975 N Veterans Blvd Ste 3
Eagle Pass, TX 78852-4456
Phone
(830) 776-5998
Fax
(855) 881-1464
NPI assigned
Mar 9, 2018
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136935 TX Primary

Addresses

Primary practice location

1975 N Veterans Blvd Ste 3
Eagle Pass, TX 78852-4456

Mailing address

1975 N Veterans Blvd Ste 3
Eagle Pass, TX 78852-4456
Phone (830) 776-5998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180418002497 TX Practitioner - Nurse Practitioner 8123024734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1975 N Veterans Blvd
Suite 3
Eagle Pass, TX 78852-4456
Phone (830) 776-5998

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136935TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angelica Martinez Family Practice PLLC Family CurrentSince Feb 9, 2018 Accepting new patients
Carlos Hernandez, M.D., P.a. Current Accepting new patients

Locations

1975 N Veterans Blvd
Ste 3
Eagle Pass, TX 78852
Phone (830) 773-7800

1975 N Veterans Blvd
Ste 6
Eagle Pass, TX 78852
Phone (830) 758-1633

2557 N Veterans Blvd
Ste 3
Eagle Pass, TX 78852
Phone (830) 776-5998

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18627/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/18637/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/18827/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHDD/Endpoint/IHJHDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1144723859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD STE 3",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-776-5998",
            "fax_number": "855-881-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD STE 3",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-776-5998",
            "fax_number": "855-881-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANGELICA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.